Contd. :

Filling the drug :

Filling the drug Check the label for correct name , foreign material, expiry color change.
Cutting of glass ampoule-particles should not fall into the ampoule / on ground.
Use phials—knife.
Hold the ampoule in left hand and phial in right hand. Use the collar band.
Remove the metal piece form the cap.

Filling the syringe :

Filling the syringe Open the syringe packet form upper end.
Remove the cap from the needle.
Hold the vial in left hand up side down and syringe in the right, fill equivalent air, push it into the vial cap at 90 degree.
Less air– vacuum, more air—leakage of liquid.
Ensure the tip dipped into the liquid.
Do not fill air into the AD syringe.

contd. :

contd. Take out the needle, keep the vial on table.
Hold syringe with needle upward, tap with fingers.
Do not recap the syringe– may cause injury.
In case needed—recap single handedly.
Do not wipe the needle.
Do not touch the needle.

Site selection :

Site selection Basic principle—minimum possibility of injury to nerves and vessels.
Clean skin.
Open display of the part.
Patient comfortable.

Intradermal :

Sub cutaneous :

Sub cutaneous Hold like pencil in right hand.
Hold a fold of skin with left hand to seprate it from muscles.
push at 90 degree / in thin built or children 45 degree.
Leave the skin fold slowly.
Push the drug slowly 5 –10 seconds.
Used for slow absorption of drugs—less blood supply.

Intra muscular :

Intra muscular Hold like pencil.
Stretch the skin. Push at 90 degree.
Pull back the plunger to ensure the needle is not in the vessels.
Push the drug 10 seconds.
Press x 1 minute.
Rich blood supply –quick absorption.

Intravenous :

Most common mistakes :

Most common mistakes No hand washing/use of gloves----------93%.
Placing the syringe in tray after filling
or after giving the injection--------------33%.
Recapping with both hands---------------30%.
Touching the needle------------------------25%.
Reuse of syringe/ needle------------------23%.
Flushing the syringe before filling-------11%.
Wiping the needle --------------------------11%.
Over the clothes-----------------------------7%